Download RGUHS BNYS 2020 4th Year 2550 Physical Medicine And Rehabilitation Rs3 Question Paper

LONG ESSAYS 2 X 15 = 30 Marks

1. Define lever and its classification with an example and diagram.
2. Define pain and pain gait theory.

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SHORT ESSAYS 10 X 5 = 50 Marks

3. Define Newton's law with an example.
4. Define pulleys and its function.
5. Importance of past medical history in assessment
6. Relationship between BOS, COG, LOG

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7. Define Chronaxie and factor affecting.
8. Wax and method of application
9. Accommodation
10. Cryotherapy and its application
11. Posture and types

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12. IRR

Multiple Choice Questions 10 X 1 = 10 Marks

13. Which statement is correct
    1. AB fibres are thickly myelinated and normally transmit nociceptive stimuli
    2. Ad fibres are unmyelinated and slower conducting than AB transmission
    3. Ad fibers can alter the rate of firing depending on the intensity of stimuli and terminate in laminae I, IV and V

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    4. C fibres are non-myelinated and rapid conducting
14. Which statement is most accurate?
    1. Magnesium augments the action of the NMDA receptor
    2. Glycine and glutamate are excitatory neurotransmitters
    3. Transduction involves a flow of negative ions into the cell to cause depolarization

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    4. Tetrodotoxin resistant sodium channels are important in nociception
15. Managing chronic pain in more complex in-older adults mainly because
    1. They are reluctant to participate in management strategies
    2. The impact is the same as their younger counterparts with the additional problem of social isolation
    3. Many approaches to management are inappropriate for the group

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    4. All the above
16. Pain is poorly managed in older adults predominantly because
    1. They have different physiology
    2. They cannot take analgesic medications
    3. It is more difficult to interpret in this group than in their younger counterparts

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    4. All the above
17. Which of the following is the most appropriate method for selectively stimulating small diameter, high threshold afferents (A-delta)
    1. Simultaneously stimulating large diameter, low threshold afferents (A-beta) and small diameter, high threshold afferents (A-delta)
    2. Simultaneously stimulating large diameter, low threshold afferents (A-beta)
    3. Generate muscle twitches in order to activate small diameter muscle afferents

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    4. Stimulate small diameter, higher threshold afferents (A-delta) without simultaneously stimulating large diameter, low threshold afferents (A-beta)
18. The mechanism of action conventional TENS is predominantly by
    1. Activating structures on the descending pain inhibitory pathways
    2. Resetting central sensitization and re-organising aberrant neuronal pathways
    3. Blocking impulses travelling in peripheral nociceptive afferents

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    4. Long-term depression of central nociceptor cell activity
19. The main purpose of passive range of motion exercises is to
    1. Strengthen muscles
    2. Prevent contractures
    3. Increase coordination

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    4. Provide Proprioceptive input
20. Which of the following are indicative of posterior column disturbances?
    1. Ataxia, ataxic gait, Romberg sign and athetosis
    2. Ataxia, athetosis, asthenia and Dystonia
    3. Dystonia, dysmetria, dys synergia and dysdiadochokinosia

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    4. Ataxia and Romberg sign
21. Co-ordination is space, rhythm and approach is disturbed in the lesion of
    1. Pyramidal tract
    2. Cerebellum
    3. Mid brain

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    4. Spinal cord

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